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Montana rates for HCPCS 35102

Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch graft; for aneurysm, pseudoaneurysm, and associated occlusive disease, abdominal aorta involving iliac vessels (common, hypogastric, external)

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,896.63 / $2,896.63 / $2,896.63
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,896.63 / $3,599.05 / $3,727.32